Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Boston, MA: $84.37

Avg. Paid

$84.37

Range

$0.00 – $436.16

Total Claims

5,683,879

Providers

4,776

Typical Payment Range

Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.

Based on per-provider averages across all Medicaid claims in this category.

A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Office Visit in Boston, MA

Provider	Avg. Paid	Claims	Patients
Cassandra Michelle Kelleher 55 Fruit St	$106.82	12	12
Karissa Carmella Comfort 55 Fruit St Dept Of	$47.80	12	12
Stacy A Kahn 300 Longwood Ave	$77.47	12	12
Katie A Krone 300 Longwood Ave	$65.14	12	12
Nutan Sharma 15 Parkman St	$23.46	12	12
Ido Weinberg 55 Fruit St	$42.44	12	12
Alexandra Boer Kimball 330 Brookline Ave	$36.99	12	12
Li Li 75 Francis St	$22.11	12	12
Eric Michael Isselbacher 55 Fruit St	$68.10	12	12
Jay G Berry 300 Longwood Ave	$102.18	12	12
Peter Joseph Carolan Massachusetts General Hospital	$12.98	12	12
Laticco R Robinson 725 Albany Street	$7.32	12	12
Holly Pessa Kilim 330 Brookline Ave	$14.41	12	12
David J Harris 300 Longwood Ave	$77.87	12	12
Claire M Mcgowan 800 Washington St	$31.80	12	12
Edward K Rodriguez 75 Francis St	$19.60	12	12
Craig E. Gordon 800 Washington St	$21.52	12	12
Scott Farzad Cameron 133 Brookline Ave	$99.43	12	12
Elizabeth D Barnett 850 Harrison Ave	$85.44	12	12
Harriet Alexander Bering 133 Brookline Ave	$35.54	12	12
Shahin Tabatabaei 15 Parkman St	$11.52	12	12
Jurriaan M Peters 300 Longwood Ave	$82.76	12	12
Courtney Laurette Simmons 1 Boston Medical Ctr Pl	$99.46	12	12
Mark Allen Peppercornm.D. 330 Brookline Ave.	$7.84	12	12
Nadia K Waheed 800 Washington St	$17.36	12	12
Joan Marilyn Stoler 300 Longwood Ave	$94.21	12	12
Piotr S Sobieszczyk 75 Francis Street	$22.72	12	12
Diler Acar 221 Longwood Avenue	$12.21	12	12
Rachel Victoria Reynolds 330 Brookline Ave	$55.79	12	12
Karen Elizabeth Kelly 1340 Boylston St	$138.92	12	12
Alexander Li Cohen 300 Longwood Ave # Fegan11	$190.67	12	12
Elizabeth I Buchbinder 55 Fruit St	$11.44	12	12
Isabel P Neuringer 55 Fruit St	$39.06	12	12
Mary Catherine Whitman 300 Longwood Ave	$29.20	12	12
Mandeep Rajinder Mehra 75 Francis St	$35.64	12	12
William Frederick Harvey 800 Washington Street	$28.75	12	12
Frederick Lang Makrauer 75 Francis Street	$26.76	12	12
Anna Loa Helgason 101 Merrimac St, Ambulatory Practice Of The Future	$6.31	12	12
Eric H. Holbrook 243 Charles St	$17.25	12	12
Shan Marie Stoffolano 55 Fruit St	$58.82	12	12
Jagmeet P Singh 55 Fruit Street Grb 109	$37.68	12	12
Meng Meng Xu 940 Commonwealth Ave	$22.39	12	12
Erica Cristina Sa De Camargo Faye 55 Fruit St	$31.64	12	12
Joyce S Chien 300 Longwood Ave	$31.13	12	12
David Allen Shaye 243 Charles St	$44.57	12	12
Shari M Tomasetti 75 Francis Street	$34.68	12	12
Jessica Lizotte Overlan 830 Harrison Ave	$41.50	12	12
Melanie Paige Hoenig 1 Joslin Pl	$23.76	12	12
Phuoc Van Le Massachusetts General Hospital	$0.00	12	12
Linda R Dagi 300 Longwood Ave	$72.19	12	12

What to Expect: Office Visit

A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code	Description	Avg. Paid	Claims	Providers
99213	Office visit established mod	$43.18	764,306,590	487,602
99214	Office visit established mod-hi	$59.53	502,480,931	466,856
99212	Office visit established low	$41.69	92,299,154	127,462
99203	Office visit new moderate	$67.55	47,756,882	127,334
99211	Office visit established minor	$39.24	44,127,221	47,748
99204	Office visit new moderate-high	$92.03	32,379,031	111,937
99215	Office visit established high	$93.58	29,619,773	74,725
99202	Office visit new low	$58.57	9,372,712	35,486
99205	Office visit new high	$136.10	3,665,382	19,737
99244	Office consultation mod-high	$118.25	3,405,681	11,884
99243	Office consultation moderate	$78.55	2,585,480	8,432
99245	Office consultation high	$132.29	645,300	3,046
99242	Office consultation low	$58.27	483,445	1,980
99241	Office consultation brief	$66.15	295,664	712

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Office Visit cost in Boston, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Boston, MA is $84.37 per claim, based on 5,683,879 claims from 4776 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Office Visit in Boston, MA?

There are 4776 Medicaid providers offering Office Visit related services in Boston, MA according to public payment data.

What is the price range for Office Visit in Boston, MA?

Medicaid reimbursement for Office Visit in Boston, MA ranges from $0.00 to $436.16 per claim, with an average of $84.37. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Boston, MA: $84.37

Providers Offering Office Visit in Boston, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Boston, MA

Blood Work & Lab Tests

Emergency Room Visit

X-Ray

Dental Cleaning & Exam

EKG / ECG (Electrocardiogram)

Psychiatric Evaluation

Vaccines & Immunizations

Case Management Services